Provider Demographics
NPI:1184037590
Name:SHAH, PARTH K (MD)
Entity Type:Individual
Prefix:DR
First Name:PARTH
Middle Name:K
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5450 CLEARFORK MAIN ST STE 420
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-3559
Mailing Address - Country:US
Mailing Address - Phone:817-784-8268
Mailing Address - Fax:817-346-6173
Practice Address - Street 1:5450 CLEARFORK MAIN ST STE 420
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-3559
Practice Address - Country:US
Practice Address - Phone:817-784-8268
Practice Address - Fax:817-346-6173
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS1263208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology